RELIANT MEDICAL GROUP, INC (NPI# 1437794716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437794716 |
| Entity Type | Organization |
| Organization Name | RELIANT MEDICAL GROUP, INC |
| Practice Address |
24 Newton St Southborough MA 01772-1215 |
| Mailing Address |
5 Neponset St Worcester MA 01606-2714 |
| Practice Telephone | 5084603150 |
| Practice Fax Number | 5084603061 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | TAREK ELSAWY (PRESIDENT & CEO) |
| Authorized Official Telephone | 5088520600 |
| Is Organization Subpart | Y |
| Parent Organization Name | RELIANT MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063765600 | Reliant Medical Group, Inc | Optometrist | 385 Southbridge St, Auburn, MA 01501-2498 | 2012-10-19 |
| 1184812620 | Reliant Medical Group, Inc | Audiologist | 123 Summer Street, Worcester, MA 01608-1216 | 2007-10-10 |
| 1811103195 | Reliant Medical Group, Inc | Occupational Therapist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2007-05-15 |
| 1437365715 | Reliant Medical Group, Inc | Speech-Language Pathologist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2007-05-15 |
| 1003951260 | Reliant Medical Group, Inc | Nutritionist | 630 Plantation St, Worcester, MA 01605-2038 | 2007-02-21 |
| 1780729293 | Reliant Medical Group, Inc | Optometrist | 5 Neponset St, Worcester, MA 01606-2714 | 2007-02-21 |
| 1851436778 | Reliant Medical Group, Inc | Radiology | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2007-02-20 |
| 1295827962 | Reliant Medical Group, Inc | Physical Therapist | 5 Neponset St, Worcester, MA 01606-2714 | 2006-09-29 |
| 1720017528 | Reliant Medical Group, Inc | Internal Medicine | 5 Neponset St, Worcester, MA 01606-2714 | 2006-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RELIANT MEDICAL GROUP, INC. | 5 Neponset St, Worcester, MA 01606-2714 |
| Massachusetts Corporations | RELIANT MEDICAL GROUP, INC. | 100 Front St., Worcester, MA 01608 |
| Street Address |
24 NEWTON ST |
| City | SOUTHBOROUGH |
| State | MA |
| Zip Code | 01772-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094788 | Mark Finno, Md PC | Physical Medicine & Rehabilitation | 24 Newton St, Southborough, MA 01772-1215 | 2005-09-26 |
| 1649881699 | Jeremy Kw Spiewak | Pharmacist | 24 Newton St, Southborough, MA 01772-1215 | 2020-08-13 |
| 1427516004 | Fnu Jomymerlythomas | Physical Therapist | 24 Newton St, Southborough, MA 01772-1215 | 2019-03-04 |
| 1629558960 | Amanda N Griffin | Nurse Practitioner | 24 Newton St, Southborough, MA 01772-1215 | 2018-08-16 |
| 1700322674 | Rosalind Gendreau | Registered Nurse | 24 Newton St, Southborough, MA 01772-1215 | 2017-01-16 |
| 1932584950 | Christine Ditullio | Nurse Practitioner | 24 Newton St, Southborough, MA 01772-1215 | 2015-07-21 |
| 1891175113 | Elizabeth Ann Minevich | Internal Medicine | 24 Newton St, Southborough, MA 01772-1215 | 2015-06-02 |
| 1164834750 | Southboro Medical Group, Inc | Specialist | 24 Newton St, Southborough, MA 01772-1215 | 2014-05-30 |
| 1588096754 | Shannon Leah Devlin | Registered Nurse | 24 Newton St, Southborough, MA 01772-1215 | 2013-07-30 |
| 1407296106 | Sarah Loy Gifford | Registered Nurse | 24 Newton St, Southborough, MA 01772-1215 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043854391 | Hiral Patel | Pharmacist | 150 Northnoro Road, Suite 4, Southborough, MA 01772 | 2019-10-30 |
| 1588188544 | Jennifer Foran | Behavior Technician | 33 Turnkpike Road, Southborough, MA 01772 | 2017-08-01 |
| 1588184402 | Lise Mary Gallo | Behavioral Analyst | 16 Clifford St, Southborough, MA 01772 | 2017-06-21 |
| 1437508322 | Kristen Lomker | Pharmacist | 155 Northborough Rd, Southboro, MA 01772 | 2016-06-10 |
| 1679841829 | Scott Adam Canter | Acupuncturist | 64 William Onthank Lane, Southborough, MA 01772 | 2011-12-02 |
| 1396966206 | Umer Sayeed Shah | Surgery | 2 Parkcentral Drive Suite 210, Avc / Acc, Southborough, MA 01772 | 2007-05-01 |
| 1982636411 | Armineh Mirzabegian | Internal Medicine | Southboro Medical Group, 24 Newton Street, Southboro, MA 01772 | 2006-07-07 |
| 1336197508 | Lisa M Hassler | Pediatrics | 24 Newton Street, Southboro Medical Group, Southboro, MA 01772 | 2006-05-04 |
| 1295714640 | Robin K Morgan | Physical Therapist | 28 Newton St, Southborough, MA 01772 | 2006-01-13 |
| 1528562998 | Emily Marie Bagley | Student in an Organized Health Care Education/Training Program | 33 Turnpike Rd, Southborough, MA 01772 | 2018-03-21 |
| Find all providers in zip 01772 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184141327 | Qian Ru Cheng | Optometrist | 30 Turnpike Rd Ste 7, Southborough, MA 01772-2115 | 2017-08-28 |
| 1013977685 | Paul E Levine | Optometrist | 30 Turnpike Rd, Suite 7, Southborough, MA 01772-2114 | 2006-03-27 |
| 1659880359 | Lindsay Swenson | Optometrist | 30 Turnpike Rd Ste 7, Southborough, MA 01772-2115 | 2017-09-25 |
| 1750827374 | Tsungming Hung | Optometrist | 30 Turnpike Rd, Suite 7, Southborough, MA 01772-2114 | 2017-01-07 |
| 1578637724 | Southboro Medical Group, Inc. | Optometrist | 24 Newton St, Southborough, MA 01772-1215 | 2006-11-20 |
| 1568546968 | Vision Care Specialists, P.C. | Optometrist | 30 Turnpike Rd, Suite 7, Southborough, MA 01772-2115 | 2006-10-24 |
| 1902992886 | John Mark Abbondanza | Optometrist | 30 Turnpike Rd, Suite 7, Southborough, MA 01772-2114 | 2006-10-05 |
| 1275635112 | Asha Sherring | Optometrist | 24 Newton St, Southborough, MA 01772-1215 | 2006-09-01 |
| 1427078120 | Elizabeth A. Askew | Optometrist | 24 Newton St, Southborough, MA 01772-1215 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336030 | Nicole Leo | Optometrist | 18 Dana Rd, Boxford, MA 01921-2661 | 2020-11-06 |
| 1063019446 | Appleton Eye Associates PC | Optometrist | 21 Market Street, Suite 100, Ipswitch, MA 01938 | 2020-10-08 |
| 1083221352 | Myeyedr Optometry of Massachusetts P C | Optometrist | 495 Cabot St Ste 1, Beverly, MA 01915-2515 | 2020-09-30 |
| 1750994448 | Compassion Eye Care LLC | Optometrist | 127 Eastern Ave Ste 5, Gloucester, MA 01930-1870 | 2020-08-24 |
| 1487264404 | Arash Namiranian | Optometrist | 18 Ashland Woods Ln, Ashland, MA 01721-4418 | 2020-08-04 |
| 1588272181 | Angela Ciocca Od Pllc | Optometrist | 1176 Memorial Dr Ste B, Chicopee, MA 01020-3958 | 2020-07-20 |
| 1588289078 | Ying Wu-freeman | Optometrist | 30 Converse Ave, Malden, MA 02148-7508 | 2020-06-10 |
| 1881218634 | Alexa Caruso | Optometrist | 1191 Chestnut St Ste 707, Newton, MA 02464-1351 | 2020-06-07 |
| 1811510795 | William Cheon | Optometrist | 84 Matheson Dr, Marlborough, MA 01752-4597 | 2020-05-26 |
| 1790314557 | Kirsten Brady | Optometrist | 10 Fairfield St Apt 3, Boston, MA 02116-1666 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHBOROUGH |
| Zip Code | 01772 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.